Healthcare Software Development Company
We build healthcare software for practices, clinics, and health systems: patient portals, telehealth, RPM, clinical decision support, and EHR integrations. HIPAA-compliant by default. Fixed-price delivery in 10-14 weeks.
HIPAA-compliant by default, every system we build meets federal data security requirements
Connects to your existing EHR, billing, scheduling, and wearable device feeds
Patient portals, telehealth, RPM, and clinical decision support built to your exact workflow
25+ clinics adopted our RPM platform in 60 days
10-14 week average delivery from first call to production deployment
Recent outcomes
Remote Patient Monitoring · PDC (US Health System)
25+ clinics enrolled in 60 days
Built a HIPAA-compliant RPM platform connecting CGM and BPM wearables to a real-time provider dashboard with automated threshold alerts.
AI Patient Monitoring · PDC (US Health System)
20% faster clinical decisions
Added an AI layer to that same platform: risk ranking, real-time abnormality alerts, and automated end-of-month insurer summaries, running on HIPAA-eligible AWS Bedrock.
Nurse-Assisted Telehealth · Galen (US Healthcare Network)
60% fewer in-person visits
Built a HIPAA-compliant telehealth platform where a clinic nurse operates exam-camera, otoscope, and stethoscope feeds while a remote doctor directs the exam and e-signs the prescription.
The problem
Clinical staff spending 2+ hours a day on documentation instead of patient care?
EHR that doesn't talk to your billing system, scheduling tool, or patient portal?
Per-seat licensing fees that scale with your team, not your revenue?
Previous software that nobody fully understands anymore?
Short answer
RaftLabs builds HIPAA-compliant healthcare software for practices and health systems in the US, UK, and Australia. Patient portals, telehealth, RPM, and EHR integrations. 25+ clinics on our RPM platform in 60 days, 150+ hospitals on our telehealth platform. Fixed-price delivery in 10-14 weeks.
Key takeaways
A nurse finishes a visit and spends the next twenty minutes re-keying the same numbers into systems that do not talk to each other. The EHR does not pass to billing. Billing does not pass to the patient portal. So someone types it all again, and the clinical staff you hired to care for patients spend two hours a day on documentation instead.
None of it is bad software. It is average software, sold to every practice the same way, and your workflow is not average. The per-seat license grows with your team, not your revenue, and the one person who fully understood the setup is no longer around.
Custom healthcare software removes the re-keying. The systems connect, the record is one record, and the workflow fits the way your clinic actually runs.
Generic clinical tools are built for the average practice. When your workflows, compliance requirements, or patient data do not fit the template, staff spend the day working around the software instead of using it.
RaftLabs has shipped 15+ HIPAA-compliant healthcare products since 2015: a nurse-assisted telehealth platform now running across 150+ hospitals, a remote patient monitoring platform that 25+ clinics adopted within 60 days, and the AI layer we later added to it. Broader product work spans Vodafone, T-Mobile, Aldi, Nike, Cisco, and Lockheed Martin. One team scopes the clinical workflow, builds the system, integrates it with your existing EHR, and hands it over, with HIPAA safeguards designed in from week one, not retrofitted before launch. Connecting to an existing record system? See EHR and EMR integration. Building for patients directly? See patient portal development.
Healthcare software failures do not fail quietly. According to the IBM Cost of a Data Breach Report 2025, the average healthcare data breach now costs $7.42 million, the highest of any industry for the 14th consecutive year. And a bad implementation does not need a breach to do damage: KLAS Research's 2024 survey of EHR go-lives found only 38% of implementations fully met the expectations set before the project started.
The two named incidents below are not hypotheticals. They are what happens when clinical software ships without the safeguards or the scoping discipline built in from day one.
MD Anderson Cancer Center's 2016 Epic EHR rollout is the textbook case: adjusted income fell 76.9% over the following ten months, the center posted a $266 million operating loss for the year, and roughly 900 staff were laid off in the aftermath, largely attributed to the disruption of the transition. The system itself worked. The rollout did not account for how the clinical and billing workflows actually ran.
The second incident is more recent, and it answers a question most healthcare buyers ask us directly: what happens if the vendor gets breached, not us? In February 2025, Oracle Health (formerly Cerner) disclosed a breach that, per HIPAA Journal and Becker's Hospital Review, has been confirmed across 17+ health systems, with plaintiffs' counsel citing Oracle's own figures putting the number as high as 80 hospitals. A federal judge later rejected Oracle's attempt to shift liability onto the affected health systems. The BAA does not make the breach someone else's problem. It just decides who answers for it.
Everything on the left should already be true for your practice. Even one thing on the right, and a configured off-the-shelf tool is the smarter spend right now.
A clinical workflow, compliance requirement, or patient-data structure that off-the-shelf healthcare tools can't fit.
An existing EHR, billing, or scheduling system the new software has to connect to, not replace.
Budget for a fixed-price build from $40,000, and a decision-maker who can sign off on scope.
What we build
We have shipped a nurse-assisted telehealth platform now running across 150+ hospitals and a remote patient monitoring platform 25+ clinics adopted within 60 days. That domain knowledge shapes every architecture decision from week one, so you do not pay for us to learn what HIPAA Technical Safeguards mean or what an Epic or Cerner integration needs to pass vendor review.
Milestone-based pricing with the fixed total agreed and documented before development starts, not a time-and-materials contract where the number depends on hours logged. The project breaks into milestones, each with a defined deliverable and payment, and you see working software at every bi-weekly sprint review. If scope changes, the change is costed and approved explicitly before any additional work begins.
No handoffs between a business analyst who scoped it, a design team who doesn't know the clinical workflow, and an offshore build team who has never spoken to the client. The same engineers who run discovery and review the wireframes with your clinical team are the ones who write the code, so accountability never gets diluted across a handoff chain.
Every dependency is chosen because it is fit for healthcare, not because it is the most popular option. Web interfaces and patient portals, cross-platform mobile, and PHI storage with row-level security, plus a health-specific layer for EHR connectivity, HIPAA-eligible video sessions, and device integrations for CGM, blood pressure, and pulse oximetry.
We connect the new system to your existing EHR, billing software, scheduling tool, and third-party device feeds. No rip-and-replace: your staff keeps the systems they know, and the new platform adds capabilities without creating two parallel records for every patient. Every integration is tested against a sandbox instance of your EHR before any production cutover.
8 weeks of post-launch support is included in every fixed-price engagement: bug fixes for issues discovered under real patient load, monitoring alert investigation, performance tuning, and on-call availability during the first 30 days, when clinical workflow edge cases most commonly surface. Support does not expire at a calendar deadline: if the system has stability issues, we stay until it runs reliably.
Healthcare software operates under multiple overlapping regulatory frameworks. We scope compliance requirements in week one and build them into the architecture before any code is written.
According to Gartner's 2025 Enterprise IT Spending Forecast, global healthcare and life sciences IT spending is projected to reach $311 billion in 2025, growing at 7.3% year-over-year. That investment is accelerating demand for compliant, interoperable platforms built to clinical-grade standards rather than adapted from generic software toolkits.
HIPAA Technical and Security Safeguards
Every system we build includes PHI encrypted at rest (AES-256) and in transit (TLS 1.3), multi-factor authentication, role-based access control, session timeout enforcement, and immutable audit logs recording every PHI access event. Business Associate Agreements with AWS, Twilio, Stripe, and every infrastructure provider that processes patient data.
HL7 FHIR R4 and EHR interoperability
EHR integration via HL7 FHIR R4 APIs for patient demographics, appointments, clinical notes, results, and medication lists. Epic App Orchard, Cerner FHIR Millennium, and Athenahealth API connectivity. For systems without a FHIR-capable API, HL7 v2 message-based integration handles bidirectional data exchange.
ONC Cures Act and patient data access requirements
For platforms required to support ONC Cures Act Final Rule compliance, we implement SMART on FHIR authorization, FHIR R4 patient access APIs, and the audit logging required for ONC compliance reviews. Information-blocking prohibitions are accounted for in the data access design.
GDPR for healthcare platforms serving EU patients
For platforms serving European patients, we scope GDPR requirements: data processing agreements, consent management, right-to-erasure workflows for patient records, and data residency controls keeping PHI within EU infrastructure. UK GDPR requirements for post-Brexit deployments are handled separately where applicable.
FDA and SaMD regulatory requirements
For software as a medical device (SaMD), we scope regulatory classification (Class I, II, or III), document software development lifecycle requirements aligned with FDA 21 CFR Part 11 and IEC 62304, and design quality management system documentation aligned with FDA submission requirements.
DICOM for medical imaging platforms
DICOM-compliant image handling for platforms that store, transmit, or display medical images. PACS integration, DICOM viewer embedding via open-source renderers (OHIF, Cornerstone.js), and compliant storage on HIPAA-eligible infrastructure with appropriate encryption and access controls.
In healthcare, the software has to work every time. We build systems that handle the load, stay compliant, and connect to what you already use.
Custom healthcare software designed around your specific clinical workflow, not configured from a vendor template built for a different care model: telehealth platforms, remote patient monitoring, HIPAA-compliant EHR/EMR tools, chronic disease management, medication adherence, and clinical decision support. Each build starts with a one-week discovery mapping the clinical workflow with your care team.
Custom clinical and operational analytics dashboards that surface the KPIs your leadership and clinical teams need, built from your actual data: operational views for practice managers, clinical quality views for medical directors, and population health views for value-based care contracts. All dashboards pull from your existing EHR, billing, and RPM data without manual export, refreshed daily or in near-real-time.
Replace legacy EHR systems, outdated patient portals, and desktop-only clinical software with modern, secure, maintainable platforms, without the clinical disruption of a hard cutover. We use a strangler fig pattern: the new system runs alongside the legacy one, workflows migrate one at a time, and data migration is validated with reconciliation checks before any cutover.
Connect your new or existing platform to the clinical systems already in use: EHR integration via FHIR R4, e-prescribing, plus scheduling, billing, and telehealth video infrastructure. Each integration is assessed for the correct API approach and tested against the vendor's sandbox before production, so data flows without manual re-entry.
Reduce page load times, cut database query latency, and automate the manual steps that slow clinical and administrative staff. We audit first, profiling the application against production traffic to find the specific queries and rendering paths causing slowdowns, then produce a fix list ranked by time saved per day for clinical staff. Results are verified with load testing under simulated clinical workload.
Intelligent healthcare software using AI where it delivers measurable improvement, not AI applied broadly because it is a trend: risk stratification models trained on your EHR data, AI-assisted symptom triage before telehealth visits, clinical decision support using RAG over your clinical knowledge base, and automated prior authorization assistance. Every model ships with an audit trail, human review for any output used in a clinical decision, and drift monitoring.
We are not tied to one framework. We pick the stack that fits your compliance, integration, and handover needs, then document every choice so any competent engineering team can maintain it. Every dependency is chosen because it is fit for healthcare, not because it is the most popular option in a non-clinical context.
| Layer | Technologies we use | Where it fits |
|---|---|---|
| Frontend | React, Next.js, TypeScript, React Native | Patient portals, clinician dashboards, and cross-platform mobile apps |
| Backend | Node.js, Python (FastAPI, Django), .NET | Clinical data processing, APIs, and business logic |
| Databases | PostgreSQL (row-level security), MongoDB | PHI storage with least-privilege access and flexible clinical schemas |
| Interoperability | HL7 FHIR R4, HL7 v2, EHR and EMR APIs | Epic, Cerner, Athenahealth, and Meditech data exchange |
| Cloud and compliance | AWS, Azure, HIPAA-eligible services | Encrypted, audited infrastructure covered by Business Associate Agreements |
The rule holds at every layer: PHI encrypted at rest and in transit, no proprietary frameworks that lock you in, and no stack we cannot hand to your team on day one. The interoperability layer does the heaviest lifting, and we scope it early through our EHR and EMR integration work so clinical data flows without manual re-entry.
Walk us through your clinical workflow and what your current systems can't handle. We'll scope the build and give you a fixed cost.
How it works
Every project follows the same four phases. Scope is locked and price is fixed before development starts.
We map your clinical workflows with the care team who will use the software daily. You leave week 1 with a written scope document, integration assessment, and a fixed-price quote. No development starts without your sign-off.
HIPAA controls, EHR integration approach, and PHI data flows are designed before any code is written. Wireframes reviewed and approved by your clinical leads. The compliance architecture is documented and locked before the build starts.
Working software at a staging URL by the end of sprint one. Bi-weekly demos with your clinical stakeholders. QA and HIPAA compliance checks run in parallel with every sprint, not as a phase at the end.
Production deployment with monitoring activated on launch day. 8 weeks of post-launch support included in every project. Bug fixes, performance tuning, and on-call availability during the critical first 30 days.
What clients say
Three-year average engagement. Founders and operators describing the work in their own words. No marketing varnish.
USAPDC has been a great addition to our clinic. It's easy to navigate, and as a remote patient monitoring app, it helps us stay connected with senior patients who can't visit regularly.
01 / 02
We've built healthcare software for practices in the US, UK, and Australia. Here's what makes the difference.
Most healthcare software projects ship in 10-14 weeks from discovery to production. Week 1 produces a scoped, validated architecture: clinical workflow mapping, integration assessment, and wireframes reviewed with your care team. Weeks 2-12 run bi-weekly sprints with working software at each review, and the final weeks cover UAT, HIPAA compliance review, and deployment.
HIPAA compliance is designed into the architecture from the first technical decision, not added as a checklist item at the end of the build. Every system ships with PHI encrypted at rest and in transit, multi-factor authentication, role-based access control with least privilege, immutable audit logs of every PHI access event, and Business Associate Agreements with every infrastructure provider that handles PHI. A compliance review before production deployment verifies all controls are implemented as designed.
We map your clinical workflows in Week 1 through structured sessions with the people who will use the software daily: nurses, physicians, front desk, and billing coordinators. The workflow they describe is always different from what the practice manager assumes, and that map drives the technical design before the database schema is finalized, not retrofitted after. Week 1 ends with a signed-off scope document and wireframes your clinical leads have approved.
Scope and cost locked before development starts in a written fixed-price proposal that defines the feature set, integration scope, compliance controls, and delivery timeline. The price you approve in Week 1 is the price you pay at the end. Changes to scope are addressed via a change request process: the change is specified, sized, costed, and approved before any additional work begins, so our incentives stay aligned with yours.
You see working software every two weeks in a live sprint demo with your clinical stakeholders present: not slides, not screenshots, the actual running system demonstrated against real clinical scenarios by the engineer who built the feature. Problems that affect the clinical workflow surface early, when the fix is a day's work, not at the UAT review in Week 13. Issues raised at each demo are logged, prioritized, and resolved in the next sprint.
Direct access to your named project team throughout the engagement, the lead engineer, the project manager, and the QA lead, not a ticketing system or an account manager relaying messages. Weekly sync calls follow a structured agenda, with a written summary sent within 2 hours so decisions are documented. When a risk surfaces, an unavailable EHR sandbox or a slow compliance review, you hear about it the same day we know.
We provide fixed-price proposals after a scoping session. Below are typical ranges for the healthcare software types we build most often. Scope, integration count, and compliance requirements are the primary cost drivers.
| Software type | Typical cost | Typical timeline |
|---|---|---|
| Patient portal (scheduling, records, secure messaging) | $40,000 - $65,000 | 12-16 weeks |
| Telehealth platform (video sessions, EHR integration) | $55,000 - $95,000 | 14-20 weeks |
| Remote patient monitoring (device integration, alerts) | $65,000 - $110,000 | 16-22 weeks |
| EHR integration (FHIR R4, HL7, Epic/Cerner) | $40,000 - $70,000 | 12-18 weeks |
| Clinical data analytics and reporting dashboard | $45,000 - $75,000 | 12-18 weeks |
| Healthcare mobile app (iOS, Android, or cross-platform) | $55,000 - $95,000 | 14-20 weeks |
| Complex platform (AI + RPM + EHR + telehealth combined) | $130,000 - $180,000+ | 22-28 weeks |
The ranges above reflect a fixed-price engagement: scope, features, integrations, and compliance controls agreed and documented in writing before development starts. Cost changes only when scope changes, and scope changes are priced and approved explicitly before additional work begins.
Where you land in that range depends on scope, not negotiation:
What it costs
A defined scope, integration list, and compliance controls, agreed and documented in writing before development starts.
Scope and timeline agreed before development starts. 12 to 28 weeks to production, with 8 weeks of post-launch support included. Most teams start with one core module and expand once compliance controls are proven.
HIPAA compliance review, QA testing, and 8 weeks of post-launch support are part of the build, not billed separately later. Cost changes only when scope changes, priced and approved before any additional work begins.
No hourly billing
Scope and cost for each phase are locked in a written proposal before development starts. No hourly billing, no surprise invoices. A scope change is specified, sized, costed, and approved before any additional work begins.
HIPAA compliance
HIPAA compliance is designed into the architecture from the first technical decision: PHI encrypted at rest and in transit, role-based access control, immutable audit logs, and Business Associate Agreements with every infrastructure provider that handles patient data.
Build a Telehealth App
HIPAA-compliant telehealth platforms with video, scheduling, and EMR integration.
EHR Integration
FHIR R4, HL7, and Epic/Cerner EHR integration for healthcare platforms.
AI for Healthcare
AI clinical decision support, automation, and analytics.
Remote Patient Monitoring
RPM platforms for continuous patient data capture and alerts.
Patient Portal Development
Secure portals for patient records, scheduling, and messaging.
Healthcare Mobile App Development
HIPAA-compliant patient portals, telehealth, and RPM apps.
Healthcare SaaS Development
Multi-tenant healthcare SaaS with PHI tenant isolation.
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Read moreAll healthcare software development at RaftLabs uses a secure Agile approach: two-week sprints, client reviews at every milestone, and QA testing that runs alongside development. Security is built into every stage: encrypted data storage, access controls, audit trails, and HIPAA compliance checks before any code ships to production. You see working software every two weeks, not at the end of a 14-week silence.
Most healthcare apps ship in 10-14 weeks, matching what we delivered on our own remote-monitoring and telehealth builds. An MVP with core features (appointment scheduling, basic patient portal) typically takes 10-12 weeks. Full-featured platforms with EHR integration, telehealth, or AI features run 16-22 weeks. The timeline starts with one week of discovery: stakeholder interviews, workflow mapping, and scope definition before any code is written.
Healthcare app development at RaftLabs is fixed-price, agreed before development starts. Typical ranges: a patient portal or single EHR integration, $40,000--$70,000; a full telehealth or RPM platform, $65,000--$120,000; a complex system combining AI, RPM, and deep EHR integration, $130,000--$180,000+. The fixed price includes HIPAA compliance review, QA testing, and 8 weeks of post-launch support. To get a number for your specific project, request a 30-min call.
We've built a nurse-assisted telehealth platform (video consultations, connected exam-camera, otoscope, and stethoscope feeds, e-signed prescriptions) now running across 150+ hospitals, and a remote patient monitoring platform connected to CGM and BPM devices that 25+ clinics adopted within 60 days. We later added an AI layer to that RPM platform that cut clinical decision-making time by 20%. We understand the compliance requirements: HIPAA, HL7, FHIR. We bring that domain knowledge to every project.
For mobile: React Native for cross-platform apps, Swift for iOS, Kotlin for Android. Backend: Node.js, Python, PostgreSQL, and AWS. For compliance: encrypted storage, audit logging, and role-based access control. For integrations: HL7 FHIR APIs for EHR connectivity, Twilio for telehealth, Stripe for billing. The stack fits your specific requirements, not our defaults.
Yes. We sign NDAs before any scoping conversation. Healthcare projects involve protected health information and proprietary clinical workflows. All code, architecture, and patient data remain yours. We operate under a Business Associate Agreement with every project that handles PHI, and all infrastructure providers (AWS, Twilio, Stripe) are covered by BAAs before the first byte of PHI is processed.
Work with us
We scope Healthcare Software Development Company in 30 minutes. You walk away with a clear cost, timeline, and approach. No commitment required.
Healthcare software hub
Clinical workflows, patient engagement, and health data platforms.
AI for healthcare
Clinical AI, patient monitoring, and diagnostic support.
Healthcare admin automation
Prior auth, patient intake, scheduling, and billing automation.
Remote patient monitoring
HIPAA-compliant RPM platforms for chronic care.
MedTech
Medical device software, clinical workflow tools, and diagnostic platforms.
E-Pharmacy
Digital pharmacy platforms, prescription management, and drug delivery apps.
